Individual
VICTORIA WOLFINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5961 N LINCOLN AVE, CHICAGO, IL 60659-3758
(312) 702-3923
Mailing address
5961 N LINCOLN AVE, CHICAGO, IL 60659-3758
(312) 702-3923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001641
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-001641
STATE LICENSE #
IL
Enumeration date
10/03/2006
Last updated
09/14/2020
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